MRS. Emily Marie Petrus, LCSW-R

NPI #1700217759 in Gouverneur, New York

Provider Information

NPI Number: 1700217759
Entity Type: Individual
Name: MRS. Emily Marie Petrus, LCSW-R
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Dec 2, 2013
Last Updated: Nov 9, 2022

Practice Location

Address: 28 WILLIAM ST
City: Gouverneur
State: New York
ZIP Code: 13642-1405
Phone: (315) 287-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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